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HomeMy WebLinkAbout1800 ,!,\ -���C.�C) -1�% � CITY OF DIAIVIOND BAR PRESS '-� ' DEPARTMENT OF BUILDING AND SAFETY ^•' BUILDING PERMIT FIRMLY JOBSITE APPUCATION �� � G% PERMIT '� USE ADDRESS 2846 WAGON TRAIN LANE SSUE `., �v, ,���� fC`NypE ER � �CODE � APN LO1�2 73 T33ACT�0578 DATE � �y � '���CONST.�GROUP�:� � CROSS STREET SETBACKS �� °-' OWNER PAT KELLY ZONING �ONT ►3W ❑ o ADDRESS 15258 PROCTOR AVE. REAR ❑ ,� CITY INDUSTRY Z�p91745 T��595-3974 SIDE/SIDE STREET RW � o APPLICANT TEL590-4809 SIDE ❑ _ a CONTRACTOR PIERMARINI ENTERPRISES, INC. o ADDRESS 2100 S. RESERVOIR STREET SEWAGE � p�JguC pMT# DISP05AL ❑ pq�VATE SQ.FT.1100 GAL „� CITY POMONA Z�p 91766 T��590-4809 z STATE 2g3724 GRADING ❑CU.YDS.EXC. CU YDS FILL y LIC.NUMBER y ARCH/ENG/ � TYPE �T. R F�S ' AI�J I�L OIV = DESIGNER FRANK PIERMARINI W 1 , � ,/,,�"'� � o ADDRESS 2100 S. RESERVOIR STREET � 2 = CITY POMONA Z�p 9�TE��90-48D9 �e g � PROPOSED USE FR ��'-L�'/ti> CG��� "� 4 � � - Z`i �� �CE�t.�-- � GARAGE o NO.DWEL. � r��— y UNITS � STOR ES C B DROOMS 4 � PORCH s LOT DIMENSIONS � VALUATION `'� " ADJ.AREA o NO.OF BLDGS HOW QUAPit'tTY ()�SC 1P�T'{ORI. • �� .. W ON USED RESIDENCE 4 � � W � S ~ IICENSEf]CONTRACTORS DEC�AqAT10N��M�eby aFfirm that I am liceneed under Dmvuions ol ChapW 9 Itommeneing �� Y wi�h SaAon 7000)of Oivision 3 0l the Business and Pralessions Cade,and my ticense is in luli force and eflect � - 3 � µ� �- PNNEH-BUILOEfl OECLARATqN:1 here6y atLrm that I am erempt Imm dre Canvutar's Lcense Law for the fdlowing z �eason�Sec.7D315 Business and P:ofessions Code AnY dtY or counry which repuires a permil to conshutl. t!j ' C alrer �mpmve,demo6sA,ar repair any stmcturt.p�ior to us isSuaMe.also requres Ihe ap�icam k�smh pernu Z � ta tile a sigr.ed slatement that he�s Gcensed pursuant ro ihe O�wiHons of the Conuacror's Lieense Law¢h�pw �� ' � 9(commenang wrth Section 70001 0l Division 3 al�he Busmea and Protessians Lade)w th�t he is erempl IhnNmm � d and Ihe hasrs lor Ihe al@ged exanpuon Any violation ol SecUon T031.5 by any apdicam kr a permit wbpc6 � x che appliom to a crvJ penaNy ol not more�han f'rve hundred dollars(55001.) a W F ❑I as owner nl fM propaty,or my employces wnh wages as thnr sde compensatmn,will do 1�e woh,and the s�rucnu=is not irrended or ol(e�ed iw saie ISec 709A,Busmess antl Professbra Cade.The Cmtrxta's license Q � Law dces no�applv u an owner of prapeny who 6mlds or i�,mpraves fierem,and who aoes sueh wak Ixmself C3 __—_ �' ---"'-'-' o��gF�h�s owe emloyees:pravid�eil"iTzt nrch�mpiavemen`a�re na mrended a dH�nd far sak II,howewr. � m the hwlding or impravemenl�s sold wilhin one yeer o(canpletian,tFe ownerhuilde�will have tFe 6urden oi proving s[ y I�ai�e Oid rol�udG or improve for Ihe DutDUse ol Sale.) � v� ❑I,as ownei of�he propeny,am ertlusrvety contracuny wnh hcensed mnnaclors ro mnsttucl tM prqeet�Sec w 0 7044.Busiress ard Protessions Cotle.The Coniraetor's Ucense Law does not applY�an mvner af property wha .� � hudds o�impmves�hereon and who contrx�s foi such prv�eets with a eontiaetm�el�icenaed pursumi m the Cm�nata's � `"°"5e`a"", CONSTRUCTION //{ �� � ❑I xm evempt under Sx ,B 6 PC IAttaeh Cerufi[ate�. rLAN REVIE '.�>a. � � � �'�� o Oate Owner �E�.�Trr ^ �— / `C... k, 1 n Il, � � WUHKEPS'COMPENSATION OECLAPATION I hnetry a11vm that 1 have a certdicate ol omsent m sell�mswe,or a:eruh of lNorkers'Compensation Insurance,or a ceruhed capY lhneol(Sec 3800,leA.C j PLUMBING � � MECHANICAL Z Cerufied coOY�s herehy Imnished �. ...,� C L,i CerufieU mpy is itled wnn d�e Bwldug Inspe[oon Depanmem or o�e«.��. �<L GRADI W � CER7IFICATE OF EKEMPTION FHOM WORKERS'GOMPENSRT(JN i115UHANCE This x[tpn neeA not he eompklM ISSUAN � •���, y il the permit is for aae hundred IS700)a less 1 cerulk'Mrot in'ih.^.perlo�mance al ihe work for whsh�his ' / permrt rs rssued.I shali mt emplay airy perion in any man�ilr su"7t'r�6ecnme sub�x:!n IM Nbrkaa'Compensatian MIP ' � �'/� oiaw:oi cai�ro���a � pARK FEE p �ate Apd¢ant ''*•" :•��'. :, ' � � N�TICE T�APPIICANT N.altn making Ihis Certilcate of Eumptioh;yar`iheu7d'oecane�subject ro ohe Wrcker's �- SCHOOL FEES —� Compensadan prwisions of the Lahor Code,you m•at!orMw�coin�ly wi�h secM1 pwispns a Mis permil sheq LL be deemed revoked. � qVISIpJ OF iNWSfFiAI SAFETY PERMff CEBTIFICA710N� '� ''; ' ; F.�^r>';, _ ,.. r�'.:.,r S; ' A...s�."� � d ❑I here6Y cen'rfy that no ezoavalion five(5�a more feet inµdepih�mo�whieh a pl�ia lequ�d b daemd. � wiY 6e made in cmnenwn wiM work authw¢d§y Mis permn,md Mal m WAdinp suucture,aeilfddinp,tdcework, or Aemolifion or dismantlinp 1Mrea1,wdl lie mae Man_tM1xry�si�.�36)fee�Aqh.(Ch�p.32.6�p�,An 2,Sec _ W' 341.Ltle9.CACl- .. . . .., ... ' .. . . • s .� ... , ' .�, . . .;, . 3 ❑As awner-Gulder, I wil nat empby anyane to do wurk whkb wautl,repure'i priiwl liani Ihe pivispn ot �— t�ustnal Satety,as rnted ahove,untess su�h penon has a permif m do sucA warY Ua�Ihe drvifm." ' � � W ❑Urisim of Irdusn�al Salety Pormrt Na. � � � CONSTflUCfqN LENOMIG AGENCY.I hereby affirm tl�at fAere is a caaeuction 4ndirp apney la the perlamna TOTAL FEES ��� - 2 al tM woik frc whxh Mis permit is issued(Set 3097.Cn.C.l- A � �y . � Lendei s Name COMMENT�LS � i `�% �V �f`�•6�yLL�/�L-� �,,,/-C-�v�L'il�.� m lender's Address xJ �' ry a�� 7S= ' 'k 7 1� z 2� - 6 CERTIFICATE OF fAMPLUIlCE AND AUfHONRATqN FNTRY 1 artily I Nre n�d tlis app&tlim rd tub _ V� ihat ihe mlamatron g�ven is w d I a¢ee to wiMi all su�e lawa and ciry adiw�us nbCnp to hdldip r � ��- + � � y consvuclwn,/� au76ome a rep�inetive ol trrcM oi BuiNip and$akly fp enler tlr l.,,.,. !� n �^ = lor which}'M1ayk appl�ed lor Mispmm�- ot mekinQinapctians. � �ry .J %'` 1.�- C_ r�L-� 1-� ,�N�,/ !° / j e � ✓'C.v�%7��..� .�'f .-E.�2e'.L.J A,.. 5y�a�ue npqieam or ayem p�y flECPT NO. PAID BY'-' E VAUDATIOM�.A� WHITE�DepaAment Copy,YELLOW—Finance Copy,PINK—Assesaor Copy,GOLDENROD—File Copy.OREEN—ApplicaMs Capy BSt06-11/89 J,. 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